KATHRYN GRACE TAYLOR (NPI# 1235339516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235339516 |
| Entity Type | Individual |
| Full Name | KATHRYN GRACE TAYLOR |
| Credential | M.D. |
| Practice Address |
1220 N Shore Pkwy Suite 6 Brandon MS 39047-6383 |
| Practice Telephone | 6018292939 |
| Practice Fax Number | 6018292995 |
| Mailing Telephone | 6018292939 |
| Mailing Fax Number | 6018292995 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2014-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20018 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE PTAN | P00622806 | 01 |
| MS | 06400753 | 05 | |
| MS | MEDICARE PTAN | 512I080155 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942835962 | Kathryn Taylor | Physical Therapist | 750 Williamsburg Ct Ne, Concord, NC 28025-2539 | 2020-03-10 |
| 1003370701 | Kathryn Rheanne Taylor | Nurse Practitioner | 3208 Blue Haven Way, Wylie, TX 75098-6420 | 2019-01-27 |
| 1093106270 | Kathryn Taylor | Specialist/Technologist | 1010 Colleton Way, Trent Woods, NC 28562-7257 | 2015-02-10 |
| 1710185046 | Kathryn Marie Taylor | Speech-Language Pathologist | 2707 Anthem Way, Murfreesboro, TN 37128-5554 | 2007-07-09 |
| 1891990909 | Kathryn Taylor | Speech-Language Pathologist | 124 Wednesday Hill Rd, Lee, NH 03861-6539 | 2007-06-19 |
| 1407461445 | Kathryn Taylor | Licensed Practical Nurse | 3700 Access Rd, Jonesboro, AR 72401-8225 | 2020-09-15 |
| 1972133668 | Kathryn C. Taylor | Nurse Anesthetist, Certified Registered | 755 N 11th St Ste P3600, Beaumont, TX 77702-1515 | 2020-01-22 |
| 1285277459 | Kathryn D Taylor | Marriage & Family Therapist | 1100 Sanchez St, San Francisco, CA 94114-3825 | 2019-10-21 |
| 1275194268 | Kathryn Elizabeth Taylor | Occupational Therapy Assistant | 6502 Slide Rd Ste 204, Lubbock, TX 79424-1311 | 2019-06-21 |
| 1275091951 | Kathryn Nicole Taylor | Counselor | 3857 Martin Way E, Olympia, WA 98506-5268 | 2019-03-12 |
| Street Address |
1220 N SHORE PKWY SUITE 6 |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023119161 | Mark Allen Livingston | Physical Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2006-09-25 |
| 1275027443 | Kimberly Mychel Mcnair | Physical Therapist | 1220 N Shore Pkwy, Brandon, MS 39047-6383 | 2018-06-20 |
| 1295288017 | Jacob Blake Daniels | Physical Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2016-07-28 |
| 1609222306 | Rivers Luter | Physical Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2016-05-11 |
| 1164885117 | Ryan Henry Mcglawn | Physical Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2016-03-29 |
| 1487014601 | Sarah Hampton Johnson | Occupational Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2016-03-01 |
| 1164893954 | Heather Marie Calnan | Occupational Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2015-10-19 |
| 1598134967 | Drayer Physical Therapy Jackson LLC | Physical Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2015-09-16 |
| 1003283714 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2015-08-28 |
| 1861824849 | Chelsea C Walker | Physical Therapist | 1220 N Shore Pkwy, Suite B, Brandon, MS 39047-6383 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1346887353 | Kelli Marie Foster | Family Medicine | 515 Belle Oak Pl, Brandon, MS 39042-8111 | 2019-12-09 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1033566161 | Medi Brandon LLC | Family Medicine | 203 W Bloomingdale Ave, Brandon, FL 33511-7404 | 2016-05-18 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1457780637 | Jennifer Packing-ebuen | Family Medicine | 426w Brandon Blvd, Brandon, FL 33511-5002 | 2013-11-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1265780910 | Uc1, LLC | Family Medicine | 799 Lumsden Rd, Brandon, FL 33511 | 2012-08-28 |
| 1992082721 | Mathew Medical Consulting Pa | Family Medicine | 635 Tuscanny St, Brandon, FL 33511-6165 | 2011-11-08 |
| 1003192246 | Sandra Dorsey | Family Medicine | 122 South Moon Avenue, Brandon, FL 33511 | 2011-11-02 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.